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Strengthening National HIV Community Based Programs Reporting A case of C ommunity – Based Organizations Reporting System in Kenya. Presented by: Patrick M. Kaburi. Background. Kenya has a generalized HIV epidemic with a HIV prevalence of 5.6% (KAIS 2012)
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Strengthening National HIV Community Based Programs ReportingA case of Community – Based Organizations Reporting System in Kenya Presented by: Patrick M. Kaburi
Background • Kenya has a generalized HIV epidemic with a HIV prevalence of 5.6% (KAIS 2012) • Peak adult prevalence of 12 percent in Mid-1990s • Estimated 1.6 million living with HIV (2013) • Kenya has over 20,000 Registered CBOs providing community based HIV services • Community Based Organization (CBOs), first to mobilize and provide HIV prevention and care services. • Significant HIV program resources have been spent on CBOs over the years
Background cont’ • There is evidence that Community based response is key in HIV programming • WB/DFID evaluation (2010) showed that: • High CBO engagement results in greater in HIV knowledge and behavior change • Increased condom use at high risk sex • CBO engagement on National policies have a significant impact on political and legal transformation • Advocacy for human rights
Issues • Lack of dedicated reporting system from CBOs • Unable to demonstrate the CBOs contribution to the national HIV response • Unable to link the CBOs expenditure to program results • Focus on accountability for funds but not results • A threat to sustainability of CBOs led response
Description • In 2006, National AIDS Control Council and partners prioritized to develop a dedicated Community Based Program Organization Reporting (COBPAR) system. • Developed a reporting tool, database and user guide tools. • Piloted and rolled out training for over 12,000 CBOs. • There has been continuous capacity building of CBOs on information management.
Data Flow NACC Regional Field Offices Partners Constituency Control Committees CBO/FBO/NGO
Achievements • Improved rates of reporting by CBOs • From 2000 to over 8000 CBOs reporting to local AIDS coordination agencies per quarter • Better coordination at the decentralized levels • The structures are aware of who is doing what and where • Improved national project performance • Achievement of project targets. • Verification of targets • Validation by beneficiaries • Value for money • More results for less amount of funds
CBO program sustainability • Able to mobilize funds from multiple sponsors • Better capacity to write good proposals that attract funding • Likely to remain active • No long spells of inactivity due to lack of funds • Improved coordination • Likely to be involved in planning, implementation and review of HIV programs • More recognized by the community and beneficiaries as valuable partners
Lessons learnt • Enhanced community M&E systems greatly improves: • CBOs performance • Resource mobilization for community response • Sustainability of CBOs response • Quality of community based programs • Requires a strong decentralized coordination structure • For continuous capacity building • For information use and program improvement
Conclusion • Strengthened community based reporting systems improves sustainability of community HIV based response.
Acknowledgements • USAID – Measure Evaluation • UNAIDS • National M&E TWG